Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.26 / $1,615.26 / $1,944.78	Facility		$1,615.26	$1,615.26	$1,944.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.93 / $1,482.01 / $2,230.59	Professional		$873.93	$1,482.01	$2,230.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $2,677.79	Facility		$1,350.00	$1,350.00	$2,677.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $3,090.00 / $4,141.14	Professional		$1,350.00	$3,090.00	$4,141.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $256.39 / $256.39 / $3,649.52	Professional		$256.39	$256.39	$3,649.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $352.96 / $3,285.36 / $14,590.13	Facility		$352.96	$3,285.36	$14,590.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,189.70 / $1,526.89 / $3,652.18	Professional		$1,189.70	$1,526.89	$3,652.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $303.58 / $303.58 / $717.55	Facility		$303.58	$303.58	$717.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $301.27 / $362.81 / $717.55	Professional		$301.27	$362.81	$717.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,333.56 / $1,378.01 / $3,652.18	Professional		$1,333.56	$1,378.01	$3,652.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,962.22 / $2,483.82 / $2,483.82	Professional		$1,962.22	$2,483.82	$2,483.82